Metabolic Syndrome and Neuroprotection

Introduction: Over the years the prevalence of metabolic syndrome (MetS) has drastically increased in developing countries as a major byproduct of industrialization. Many factors, such as the consumption of high-calorie diets and a sedentary lifestyle, bolster the spread of this disorder. Undoubtedl...

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Main Authors: Melisa Etchegoyen, Mariana H. Nobile, Francisco Baez, Barbara Posesorski, Julian González, Néstor Lago, José Milei, Matilde Otero-Losada
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-04-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fnins.2018.00196/full
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author Melisa Etchegoyen
Mariana H. Nobile
Francisco Baez
Barbara Posesorski
Julian González
Néstor Lago
José Milei
Matilde Otero-Losada
author_facet Melisa Etchegoyen
Mariana H. Nobile
Francisco Baez
Barbara Posesorski
Julian González
Néstor Lago
José Milei
Matilde Otero-Losada
author_sort Melisa Etchegoyen
collection DOAJ
description Introduction: Over the years the prevalence of metabolic syndrome (MetS) has drastically increased in developing countries as a major byproduct of industrialization. Many factors, such as the consumption of high-calorie diets and a sedentary lifestyle, bolster the spread of this disorder. Undoubtedly, the massive and still increasing incidence of MetS places this epidemic as an important public health issue. Hereon we revisit another outlook of MetS beyond its classical association with cardiovascular disease (CVD) and Diabetes Mellitus Type 2 (DM2), for MetS also poses a risk factor for the nervous tissue and threatens neuronal function. First, we revise a few essential concepts of MetS pathophysiology. Second, we explore some neuroprotective approaches in MetS pertaining brain hypoxia. The articles chosen for this review range from the years 1989 until 2017; the selection criteria was based on those providing data and exploratory information on MetS as well as those that studied innovative therapeutic approaches.Pathophysiology: The characteristically impaired metabolic pathways of MetS lead to hyperglycemia, insulin resistance (IR), inflammation, and hypoxia, all closely associated with an overall pro-oxidative status. Oxidative stress is well-known to cause the wreckage of cellular structures and tissue architecture. Alteration of the redox homeostasis and oxidative stress alter the macromolecular array of DNA, lipids, and proteins, in turn disrupting the biochemical pathways necessary for normal cell function.Neuroprotection: Different neuroprotective strategies are discussed involving lifestyle changes, medication aimed to mitigate MetS cardinal symptoms, and treatments targeted toward reducing oxidative stress. It is well-known that the routine practice of physical exercise, aerobic activity in particular, and a complete and well-balanced nutrition are key factors to prevent MetS. Nevertheless, pharmacological control of MetS as a whole and pertaining hypertension, dyslipidemia, and endothelial injury contribute to neuronal health improvement.Conclusion: The development of MetS has risen as a risk factor for neurological disorders. The therapeutic strategies include multidisciplinary approaches directed to address different pathological pathways all in concert.
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spelling doaj.art-40c8a7ee04704b6f955c578c14acc8bf2022-12-21T19:03:37ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2018-04-011210.3389/fnins.2018.00196339513Metabolic Syndrome and NeuroprotectionMelisa Etchegoyen0Mariana H. Nobile1Francisco Baez2Barbara Posesorski3Julian González4Néstor Lago5José Milei6Matilde Otero-Losada7Institute of Cardiological Research, School of Medicine, University of Buenos Aires, Buenos Aires, ArgentinaInstitute of Cardiological Research, School of Medicine, University of Buenos Aires, Buenos Aires, ArgentinaInstitute of Cardiological Research, School of Medicine, University of Buenos Aires, Buenos Aires, ArgentinaInstitute of Cardiological Research, School of Medicine, University of Buenos Aires, Buenos Aires, ArgentinaInstitute of Cardiological Research, School of Medicine, University of Buenos Aires, Buenos Aires, ArgentinaInstitute of Cardiovascular Pathophysiology, School of Medicine, University of Buenos Aires, UBA-CONICET, Buenos Aires, ArgentinaInstitute of Cardiological Research, School of Medicine, University of Buenos Aires, Buenos Aires, ArgentinaInstitute of Cardiological Research, School of Medicine, University of Buenos Aires, Buenos Aires, ArgentinaIntroduction: Over the years the prevalence of metabolic syndrome (MetS) has drastically increased in developing countries as a major byproduct of industrialization. Many factors, such as the consumption of high-calorie diets and a sedentary lifestyle, bolster the spread of this disorder. Undoubtedly, the massive and still increasing incidence of MetS places this epidemic as an important public health issue. Hereon we revisit another outlook of MetS beyond its classical association with cardiovascular disease (CVD) and Diabetes Mellitus Type 2 (DM2), for MetS also poses a risk factor for the nervous tissue and threatens neuronal function. First, we revise a few essential concepts of MetS pathophysiology. Second, we explore some neuroprotective approaches in MetS pertaining brain hypoxia. The articles chosen for this review range from the years 1989 until 2017; the selection criteria was based on those providing data and exploratory information on MetS as well as those that studied innovative therapeutic approaches.Pathophysiology: The characteristically impaired metabolic pathways of MetS lead to hyperglycemia, insulin resistance (IR), inflammation, and hypoxia, all closely associated with an overall pro-oxidative status. Oxidative stress is well-known to cause the wreckage of cellular structures and tissue architecture. Alteration of the redox homeostasis and oxidative stress alter the macromolecular array of DNA, lipids, and proteins, in turn disrupting the biochemical pathways necessary for normal cell function.Neuroprotection: Different neuroprotective strategies are discussed involving lifestyle changes, medication aimed to mitigate MetS cardinal symptoms, and treatments targeted toward reducing oxidative stress. It is well-known that the routine practice of physical exercise, aerobic activity in particular, and a complete and well-balanced nutrition are key factors to prevent MetS. Nevertheless, pharmacological control of MetS as a whole and pertaining hypertension, dyslipidemia, and endothelial injury contribute to neuronal health improvement.Conclusion: The development of MetS has risen as a risk factor for neurological disorders. The therapeutic strategies include multidisciplinary approaches directed to address different pathological pathways all in concert.http://journal.frontiersin.org/article/10.3389/fnins.2018.00196/fullmetabolic syndrome Xneuroprotectionhypoxiabrainoxidative stressantioxidants
spellingShingle Melisa Etchegoyen
Mariana H. Nobile
Francisco Baez
Barbara Posesorski
Julian González
Néstor Lago
José Milei
Matilde Otero-Losada
Metabolic Syndrome and Neuroprotection
Frontiers in Neuroscience
metabolic syndrome X
neuroprotection
hypoxia
brain
oxidative stress
antioxidants
title Metabolic Syndrome and Neuroprotection
title_full Metabolic Syndrome and Neuroprotection
title_fullStr Metabolic Syndrome and Neuroprotection
title_full_unstemmed Metabolic Syndrome and Neuroprotection
title_short Metabolic Syndrome and Neuroprotection
title_sort metabolic syndrome and neuroprotection
topic metabolic syndrome X
neuroprotection
hypoxia
brain
oxidative stress
antioxidants
url http://journal.frontiersin.org/article/10.3389/fnins.2018.00196/full
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AT barbaraposesorski metabolicsyndromeandneuroprotection
AT juliangonzalez metabolicsyndromeandneuroprotection
AT nestorlago metabolicsyndromeandneuroprotection
AT josemilei metabolicsyndromeandneuroprotection
AT matildeoterolosada metabolicsyndromeandneuroprotection